| University Internal Medicine Assoc Llp | |
|
2500 N State St Department Of Medicine Jackson MS 39216-4500 | |
| (601) 984-5600 | |
| Not Available |
| Full Name | University Internal Medicine Assoc Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 N State St, Jackson, Mississippi |
| Authorized Official Name and Position | Richard Deshazo (MANAGING PARTNER) |
| Authorized Official Contact | 6019873988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Internal Medicine Assoc Llp 1867 Crane Ridge Dr Ste 150-a University Internal Medicine Associates, Llp Jackson MS 39216-4982 Ph: (601) 987-3988 | University Internal Medicine Assoc Llp 2500 N State St Department Of Medicine Jackson MS 39216-4500 Ph: (601) 984-5600 |
| NPI Number | 1083656870 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083656870 | NPI | - | NPPES |
| 09012352 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (Mississippi) | Primary |
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The Wound Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2561 Fax: 601-376-2570 | |
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